| NPI | 1053327601 |
|---|---|
| Other Name | COMMUNITY DENTAL PROGRAM |
| Entity Type | Organization |
| Authorized Contact | SUSAN ATWOOD Administrator 410-341-0307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-08-22 |